Table 2. Percent of bone mineral density (BMD) changes compared with the baseline value at the 3rd, 6th, 12th and 18th or more in spinal cord injury (SCI) patients after intervention.
Authors, year | Participants’ pattern | Intervention | Comparator | Percent of BMD changes at the 3rd month | Percent of BMD changes at the 6th month | Percent of BMD changes at the 12th month | Percent of BMD changes at the 18th month or more |
---|---|---|---|---|---|---|---|
Studies using bisphosphonate analogues to attenuate bone loss in SCI patients | |||||||
Pearson et a al, 1997 | Acute SCI | Etidronate (oral) | SCI patients with usual care | No measurement | T: -8.3 ± 3.6; C: difficulty in data extraction | T: -26.1 ± 7.4; C: difficulty in data extraction | No measurement |
Nance et al, 1999 | Acute SCI | Pamidronate (IV) | SCI patients with usual care | No measurement | No measurement | T: -4.7 ± 0.4; C: -10.8 ± 0.4 | No measurement |
Zehnder et al, 2004 | Mainly chronic SCI | Alendronate (oral) | SCI patients with usual care | No measurement | T: 0.4 ± 0.6; C: -1.1 ± 0.4 | T: -0.7 ± 0.8; C: -2.3 ± 0.6 | T: -1.3 ± 1.3; C: -4.0 ± 0.82 |
Moran et al, 2005 | Chronic SCI | Alendronate (oral) | Calcium 1000mg daily | No measurement | T: -1.0 ± 1.9; C: -0.9 ± 4.6 | No measurement | No measurement |
Bauman et al, 2005 | Acute SCI | Pamidronate (IV) | Normal saline | T: -1.0 ± 3.0; C: -6.0 ± 7.0 | T: -5.0 ± 4.0; C: -9.0 ± 8.0 | T: -9.0 ± 7.0; C: -12 ± 7.0 | T : -18.0 ± 9.0; C: -19.0 ± 9.0 |
Gilchrist et al, 2007 | Acute SCI | Alendronate (oral) | Placebo tablet | T: -0.3 ± 5.2; C: -5.6 ± 4.7 | T: -2.3 ± 5.4; C: -13.4 ± 4.9 | T: -3.4 ± 5.2; C: -18.5 ± 4.7 | T: -7.1 ± 4.7; C: -22.6 ± 4.3 |
Shapiro et al, 2007 | Acute SCI | Zoledronic acid (IV) | Normal saline | No measurement | T: 2.4 ± 4.3; C: -1.7 ± 3.5 | T: -2.1 ± 4.2; C: -12.6 ± 5.2 | No measurement |
Bubbear et al, 2011 | Acute SCI | Zoledronic acid (IV) | SCI patients with usual care | T: -1.9 ± 2.41; C: -10.84 ± 1.72 | T: -1.5 ± 5.9; C: -18.5 ± 5.9 | T: -4.5 ± 5.7; C: -17.9 ± 9.4 | No measurement |
Studies using functional electrical stimulation (FES) to attenuate bone loss in SCI patients | |||||||
Leeds et al, 1990 | Chronic SCI | FES cycling ergometry | Nil | No measurement | T: -5.6 ± 6.5 | No measurement | No measurement |
Bedell et al, 1996 | Chronic SCI | FES cycling ergometry | Ni; | T: 5.1 ± 17 | No measurement | No measurement | No measurement |
Bloomfield et al, 1996 | Chronic SCI | FES cycling ergometry | SCI patients with usual care | T: 6.7 ± 2.1; C:-2.1 ± 3.4 | T: 4.8 ± 3.3; C: 2.3 ± 4.4 | No measurement | No measurement |
Mohr et al, 1997 | Chronic SCI | FES cycling ergometry | Nil | No measurement | No measurement | T: 9.7 ± 3.5 | T: -2 ± 6.9 |
Belanger et al, 2000 | Chronic SCI | FES plus resistive training | Nil | No measurement | T: 11.1 ± 4.6 | No measurement | No measurement |
Eser et al, 2003 | Acute SCI | FES cycling ergometry | SCI patients with usual care | T: -0.9 ± 1.8; C: -2.1 ± 2.4 | T: -1.8 ± 3.6; C: -4.2 ± 4.8 | No measurement | No measurement |
Chen et al, 2005 | Chronic SCI | FES cycling ergometry | Nil | No measuremnt | T: 11.1 ± 0.8 | No measurement | No measurement |
Clark et al, 2007 | Acute SCI | FES to quadriceps femoris and anterior tibialis | SCI patients with usual care | T: -2.4 ± 3.3; C: -2.3 ± 2.8 | T: -7.1 ± 3.1; C: -4.7 ± 2.7 | No measurement | No measurement |
Frotzler et al, 2008 | Chronic SCI | FES cycling ergometry | Nil | No measurement | T: 5.2 ± 15.6 | T: 6.6 ± 16 | No measurement |
Griffin et al, 2009 | Chronic SCI | FES cycling ergometry | Nil | T: -0.6 ± 6.3 | No measurement | No measurement | No measurement |
Lai et al, 2010 | Acute SCI | FES cycling ergometry | Nil | T: -2.1 ± 0.9; C: -6.6 ± 0.5 | No measurement | No measurement | No measurement |
Note: abbreviation: T: treatment group; C: control group; IV: intravenous